Clinical outcome, pain perception and activities of daily life after minimally invasive coronary artery bypass grafting

Uymaz, Barış; Sezer, Gül Baytan; Coşkun, Pınar Köksal; Tarcan, Onurcan; Özleme, Seyhan; Aybek, Tayfun

doi:10.5152/akd.2014.4570

Cited by 8 publications

(5 citation statements)

References 16 publications

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“… 1 With the aim of minimizing postoperative pain, surgeons modify the traditional approaches and search for solutions sparing thoracic wall structures. 21 , 49 , 50 …”

Section: Factors Influencing the Perception Of Painmentioning

confidence: 99%

Assessment and pathophysiology of pain in cardiac surgery

Zubrzycki¹,

Liebold²,

Skrabal³

et al. 2018

JPR

139

106

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Analysis of the problem of surgical pain is important in view of the fact that the success of surgical treatment depends largely on proper pain management during the first few days after a cardiosurgical procedure. Postoperative pain is due to intraoperative damage to tissue. It is acute pain of high intensity proportional to the type of procedure. The pain is most intense during the first 24 hours following the surgery and decreases on subsequent days. Its intensity is higher in younger subjects than elderly and obese patients, and preoperative anxiety is also a factor that increases postoperative pain. Ineffective postoperative analgesic therapy may cause several complications that are dangerous to a patient. Inappropriate postoperative pain management may result in chronic pain, immunosuppression, infections, and less effective wound healing. Understanding and better knowledge of physiological disorders and adverse effects resulting from surgical trauma, anesthesia, and extracorporeal circulation, as well as the development of standards for intensive postoperative care units are critical to the improvement of early treatment outcomes and patient comfort.

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“… 1 With the aim of minimizing postoperative pain, surgeons modify the traditional approaches and search for solutions sparing thoracic wall structures. 21 , 49 , 50 …”

Section: Factors Influencing the Perception Of Painmentioning

confidence: 99%

Assessment and pathophysiology of pain in cardiac surgery

Zubrzycki¹,

Liebold²,

Skrabal³

et al. 2018

JPR

139

106

View full text Add to dashboard Cite

show abstract

“…(18) In a study by While the key objective of CR is to develop and improve QoL, post-operative pain levels and ADLs are significant indicators for evaluating the changes in physical and psychological wellbeing of cardiac patients. (27,32) Correspondingly, bodily pain, general health and vitality were also found to improve significantly. Additionally, the social functioning, role limitations due to emotional problems, and mental health domains also yielded statistically significant results, which have been previously linked to improved QoL and sense of well-being.…”

Section: Post Cabg Rehabilitationmentioning

confidence: 88%

Comprehensive cardiac rehabilitation and quality of life in coronary artery bypass graft patients

Rooy¹,

Coopoo²

2017

SAHJ

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“…In recent years, many clinics reported their experiences at these applications with excellent results. From ASD repairment to CABG and/or three valve repairments, many cardiac surgical procedures can be performed via minimally invasive approaches (3)(4)(5)(6) . As shown in the Table 2, our cases which include four redo surgeries had the nearly same complexity scale as the world.…”

Section: Discussionmentioning

confidence: 99%

“…Less traumatic wounds provide patients more comfortable postoperative periods. Pain levels and daily life activities are the most important indicators for having physical and psychological well-being (5,7) .…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Cardiac Surgery Experiences in a District Branch Hospital

Özer¹,

Yücel²,

Mataracı³

et al. 2014

Khj

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With the development of technology and surgical experiences, minimally invasive approaches are getting more preferable by physicians. Also these smaller incisions provide patients to have higher life quality at their postoperative periods. In this study we aimed to report our minimally invasive approach experiences. Patients and Methods: In our clinic 10 patients underwent open heart surgery with minimally invasive approaches between March 2010 and January 2014. The mean age was 50.5±26 years (range, 22-82 years). Six of them were females (60%). Four patients have had previous open heart surgery through standard sternotomy. Ministernotomy was performed in 4 patients, 5 patients' operations were done via right anterior mini-thoracotomy and one patient was operated via left anterior minithoracotomy. Results: The mean operation duration was 6.8±1.8 hours (range, 4-10 hours) (time elapsed from anesthesia induction to wound closure with sterile sponge). Only one patient was extubated in operating theatre. Early mortality (in postoperative 30 days) was seen in only one patient. One patient was admitted to hospital with wound complication and re-hospitalized for wound care. Conclusion: With developments in cardiac surgery field, many disorders are repaired via minimally invasive techniques providing exposures as good as conventional approaches. In recent years, many clinics reported their experiences at these applications with excellent results. Minimally invasive cardiac surgery does not have worse mortality rates than standard techniques. Also, it enables patients to return to their own normal activities, providing them with less wound complications. With the increasing experiences, minimally invasive cardiac surgery may be considered in those appropriate patients and particularly in patients who care about their own appearances.

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Clinical outcome, pain perception and activities of daily life after minimally invasive coronary artery bypass grafting

Cited by 8 publications

References 16 publications

Assessment and pathophysiology of pain in cardiac surgery

Assessment and pathophysiology of pain in cardiac surgery

Comprehensive cardiac rehabilitation and quality of life in coronary artery bypass graft patients

Minimally Invasive Cardiac Surgery Experiences in a District Branch Hospital

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